Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.10 / $89.13 / $144.54	Facility	26	$87.10	$89.13	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $478.63 / $1,000.00	Professional		$354.81	$478.63	$1,000.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $141.25 / $239.88	Professional	26	$81.28	$141.25	$239.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $269.15 / $338.84 / $707.95	Professional	TC	$269.15	$338.84	$707.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $812.83 / $912.01	Professional		$616.60	$812.83	$912.01
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $147.91 / $194.98 / $218.78	Professional	26	$147.91	$194.98	$218.78
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $467.74 / $616.60 / $691.83	Professional	TC	$467.74	$616.60	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $676.08 / $1,174.90	Professional		$436.52	$676.08	$1,174.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $125.89 / $218.78	Professional	26	$77.62	$125.89	$218.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $331.13 / $512.86 / $1,023.29	Professional	TC	$331.13	$512.86	$1,023.29
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $794.33 / $794.33 / $794.33	Facility	26	$794.33	$794.33	$794.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,000.00 / $5,370.32	Professional		$398.11	$1,000.00	$5,370.32
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $165.96 / $812.83	Professional	26	$89.13	$165.96	$812.83
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $302.00 / $831.76 / $4,897.79	Professional	TC	$302.00	$831.76	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $831.76 / $1,202.26	Professional		$398.11	$831.76	$1,202.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $154.88 / $229.09	Professional	26	$79.43	$154.88	$229.09
United Facility/Professional Professional Modifier TC Low / Median / High Price $302.00 / $676.08 / $1,023.29	Professional	TC	$302.00	$676.08	$1,023.29